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Workers' Compensation Division (WCD)

Department

Independent Medical Exam

Ombudsmen

Performance Measures

Workers' Benefit Fund

Gayle Parrish
503-947-7626

Electronic Data Interchange (EDI)

Receive updates to this information by e-mail

EDI medical bill reporting

EDI claim reporting

EDI proof of coverage reporting

Other resources

*EDI Medical Bill Reporting:*
	EDI Medical Reporting User Teleconference Schedule - new

	ANSI loop, segment, data element summary - new

	Pharmacy billings - UCF paper form - new

	Email questions about EDI Medical Bill Reporting - new

	Frequently asked questions for EDI medical bill reporting under construction until 7/7/08

	Oregon Data Elements by Source table - new

	Final Reporter Cutover Plan - updated NOTE: This document shows changes made to the earlier draft document.

	Required Trading Partner Documents: - new
	Trading Partner Profile
	Transmission Profile

	Current Rules affecting EDI medical bill reporting:
	Division 009 - Oregon Medical Fee and Payment Rules
	Division 160 - Electronic Data Interchange Rules

	Revised required documents:
	Event Table - updated
	Element Requirements - updated NOTE: This document shows the final revisions of data requirements after the 5-12-08 hearing on the Division 160 Rules.
	Edit Matrix (updated 6/19/08) - new

	Implementation Schedule

	Download IAIABC EDI Medical Implementation Guide

	Past teleconferences & meetings


*EDI First and Subsequent Reports of Injury:*
*	Project on hold, pending completion of claims process functional review


*EDI Proof of Coverage Reporting:*
	Proof of coverage overview with descriptions of:
		Edit Matrix updated 9/16/03
		Revised Event Table updated 9/16/03
		Element Requirement Table updated 9/16/03
		Final Trading Partner Agreement updated 6/16/04
		Final Trading Partner Agreement Attachment updated 8/7/03
	Division 160 Electronic Reporting Rules
	Oregon EDI Implementation Guide for Proof of Coverage
	Notice to EDI-filing insurers
	Download IAIABC EDI Proof of Coverage Implementation Guide
	SB 559 Proof of Coverage Web page


*Other resources:*
	HIPAA
	International Association of Industrial Accident Boards and Commissions (IAIABC)
	National Council on Compensation Insurance
	Insurance Services Office
	Workers' COMP-LINK

If you have questions about the information contained in this document, please contact Gayle Parrish, 503-947-7626.

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